INT PARTICIPANT INFORMATION

Correlations in Nucleons and Nuclei
INT-01-1
March 5 - June 8, 2001

To be ensured consideration for this program, please submit your application no later than August 5, 2000. The program organizers will review applications at that time, and invitation letters will be issued shortly thereafter.


Family name: First name:

Professor Research Associate Graduate student Other

Department:

Institute:

Address:

Office Phone: Home Phone:

Fax: E-mail:

Preferred length of stay:

Please check the box next to the preferred week(s) for your visit
(Dates below are Mondays).

March 2001April 2001May 2001June 2001
March 5April 2 May 7June 5
March 12April 9 May 14
March 19April 16 May 21
March 26April 23May 28
April 30

Topics on which you may wish to give a seminar:

Comments: